|
Brace knee extender plus 22-30in
|
$225.00 |
$225.00 |
$225.00 |
$497.95
|
|
Brace knee hing pat open med
|
$18.74 |
$18.74 |
$18.74 |
$210.60
|
|
Brace m arm board
|
$162.50 |
$162.50 |
$162.50 |
$153.66
|
|
Brace oths wrist hnd fngr without
|
$162.50 |
$162.50 |
$162.50 |
$231.80
|
|
Brace wrist classic lft sm
|
$47.50 |
$47.50 |
$47.50 |
$79.23
|
|
Brach/thor cath 1st
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,972.10
|
|
Brach/thor cath 2nd
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,079.35
|
|
Brach/thor cath 3rd
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,151.93
|
|
Brach/thor cath addl
|
$560.00 |
$560.00 |
$560.00 |
$881.40
|
|
Brachy source i-125 injection
|
$115.00 |
$115.00 |
$115.00 |
$93.67
|
|
Brachy source iodine-125 nonstranded
|
$115.00 |
$115.00 |
$115.00 |
$64.48
|
|
Brachy source palladium
|
$167.50 |
$167.50 |
$167.50 |
$138.44
|
|
Brachy source palladium-103 nonstranded
|
$167.50 |
$167.50 |
$167.50 |
$110.22
|
|
Brachy source yttrium-90
|
$30,195.00 |
$30,195.00 |
$30,195.00 |
$30,655.90
|
|
Brachytx isodose complex
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$1,641.90
|
|
Braf gene
|
$427.50 |
$427.50 |
$427.50 |
$427.05
|
|
Brain flow imaging only
|
$620.00 |
$620.00 |
$620.00 |
$636.97
|
|
Brain image w/flow < 4 views
|
$775.00 |
$775.00 |
$775.00 |
$880.20
|
|
Brain image w/flow 4 + views
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,355.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,121.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,875.32
|
|
Brain MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,952.65
|
|
Bra surgical elizabeth pink sm
|
$81.24 |
$81.24 |
$81.24 |
$123.85
|
|
Brcassure ashkenazi panel-sendout
|
$805.00 |
$805.00 |
$805.00 |
$528.00
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,955.00 |
$1,955.00 |
$1,955.00 |
$3,076.15
|
|
Breast punct aspir cyst, bil
|
$430.00 |
$430.00 |
$430.00 |
$863.10
|
|
Breath hydrogen test 91065
|
$905.00 |
$905.00 |
$905.00 |
$462.00
|
|
Breath recording infant
|
$730.00 |
$730.00 |
$730.00 |
$1,164.00
|
|
Bronchial allergy tests
|
$412.50 |
$412.50 |
$412.50 |
$746.46
|
|
Bronchial challenge
|
$600.00 |
$600.00 |
$600.00 |
$765.50
|
|
Br punct aspir ea add, l
|
$215.00 |
$215.00 |
$215.00 |
$371.80
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$9.85 |
$9.85 |
$9.85 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$140.00 |
$140.00 |
$140.00 |
$161.46
|
|
Bundled special stain group 2
|
$720.00 |
$720.00 |
$720.00 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.28 |
$0.28 |
$0.28 |
$34.75
|
|
Buprenorphine and metabolite - sendout
|
$57.50 |
$57.50 |
$57.50 |
$85.14
|
|
Bur rotalink 2.15mm
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$7,754.17
|
|
Bx bone trocar/ndl deep
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$3,262.70
|
|
Bx breast 1st lesion strtctc
|
$2,430.00 |
$2,430.00 |
$2,430.00 |
$3,742.20
|
|
Bx breast add lesion mr imag
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$1,649.29
|
|
Bx breast add lesion strtctc
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$1,816.50
|
|
Bx breast add lesion Ultrasound imag
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$1,827.50
|
|
Bx pancreas pq ndl
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,687.20
|
|
Bx pleura pq ndl
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$1,637.90
|
|
Bx skin incisnl ea sep/add l les
|
$115.00 |
$115.00 |
$115.00 |
$257.64
|
|
Bx skin punch ea sep/ addl les
|
$115.00 |
$115.00 |
$115.00 |
$230.75
|
|
Bx skin tangential ea sep/ addl les
|
$115.00 |
$115.00 |
$115.00 |
$206.55
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$755.00 |
$755.00 |
$755.00 |
$995.00
|
|
Bx vulva or perineum/1 lesion 56605
|
$430.00 |
$430.00 |
$430.00 |
$1,177.45
|
|
Bypass temp external fem-fem
|
$4,970.00 |
$4,970.00 |
$4,970.00 |
$1,970.15
|
|
C-1 esterase, berinert
|
$243.53 |
$243.53 |
$243.53 |
$7,466.16
|
|
C1 esterase inhibitor func - sendout
|
$270.00 |
$270.00 |
$270.00 |
$86.00
|
|
Cable cath 22-pin diag
|
$389.13 |
$389.13 |
$389.13 |
$4,946.50
|
|
Calcium 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$52.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.87 |
$0.87 |
$0.87 |
$92.91
|
|
Calcium ionized
|
$47.50 |
$47.50 |
$47.50 |
$87.20
|
|
Calcium total
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Calprotectin fecal
|
$210.00 |
$210.00 |
$210.00 |
$165.00
|
|
Campylobacter antibody
|
$30.00 |
$30.00 |
$30.00 |
$75.00
|
|
Candida dna
|
$62.50 |
$62.50 |
$62.50 |
$63.00
|
|
Cannabinoid synthetic 7/more
|
$75.00 |
$75.00 |
$75.00 |
$85.14
|
|
Cannula ercp contour 5-4-3 tip
|
$5,748.06 |
$5,748.06 |
$5,748.06 |
$36,313.87
|
|
Cap nerve 2x15mm
|
$2,403.86 |
$2,403.86 |
$2,403.86 |
$25,972.19
|
|
Cap trach decann 15mm
|
$781.56 |
$781.56 |
$781.56 |
$3,283.80
|
|
Carbamazepine free
|
$50.00 |
$50.00 |
$50.00 |
$51.15
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$115.68
|
|
Carbohydrate deficient transf - sendout
|
$167.50 |
$167.50 |
$167.50 |
$123.49
|
|
Carbon dioxide
|
$47.50 |
$47.50 |
$47.50 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$32.50 |
$32.50 |
$32.50 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$142.50 |
$142.50 |
$142.50 |
$142.50
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,632.82
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$240.00 |
$240.00 |
$240.00 |
$249.60
|
|
Cardiolipin antibody iga
|
$70.00 |
$70.00 |
$70.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$1,479.92
|
|
Carotene
|
$70.00 |
$70.00 |
$70.00 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,034.84
|
|
Car seat/bed test 60 minutes
|
$130.00 |
$130.00 |
$130.00 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$65.00 |
$65.00 |
$65.00 |
$65.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$273.11 |
$273.11 |
$273.11 |
$855.70
|
|
Cath acuity innr ic130 6f 63cm
|
$1,249.60 |
$1,249.60 |
$1,249.60 |
$8,379.00
|
|
Cath acunav ge 10frx90cm
|
$4,578.67 |
$4,578.67 |
$4,578.67 |
$6,025.32
|
|
Cath adherent clot 10mm 6f 10
|
$20,520.00 |
$20,520.00 |
$20,520.00 |
$18,003.00
|
|
Cath cv dl inj 7fx16cm
|
$1,504.47 |
$1,504.47 |
$1,504.47 |
$4,691.52
|
|
Cath epdrl brevi-stf 12in .043
|
$135.97 |
$135.97 |
$135.97 |
$1,911.42
|
|
Catheter declot mechanical
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,829.42
|
|
Catheterization collection of specimen single patient all places of service
|
$10.00 |
$10.00 |
$10.00 |
$40.95
|
|
Catheter stripping venous
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$603.33 |
$603.33 |
$603.33 |
$1,778.40
|
|
Cath hawkone s directional
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
$6,886.93
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$4,471.74
|
|
Cathj umbilical vein dx/ther nb
|
$347.50 |
$347.50 |
$347.50 |
$254.80
|
|
Cath lt/rt pulm art
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$1,292.85
|
|
Cath malecot 28fr 4-wing ltx
|
$255.26 |
$255.26 |
$255.26 |
$2,311.20
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$14,747.50 |
$14,747.50 |
$14,747.50 |
$18,457.82
|
